1. Impact of enhanced metabolic stability on pharmacokinetics and pharmacodynamics of GalNAc–siRNA conjugates
- Author
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Kallanthottathil G. Rajeev, Philip Kretschmer, Husain Attarwala, Krishna Aluri, Vasant Jadhav, Ju Liu, Klaus Charisse, Renta Hutabarat, Qianfan Wang, Julie A. Boshar, Ramesh Indrakanti, Muthiah Manoharan, Minggeng Gao, Kevin Fitzgerald, Swati Gupta, Jayaprakash K. Nair, Martin Maier, Jennifer L. S. Willoughby, Xuemei Zhang, Akin Akinc, Christopher R. Brown, Tracy Zimmermann, Sally Schofield, and Alfica Sehgal
- Subjects
Male ,0301 basic medicine ,Small interfering RNA ,Acetylgalactosamine ,Metabolic Clearance Rate ,Biology ,Pharmacology ,Kidney ,RNAi Therapeutics ,03 medical and health sciences ,Drug Delivery Systems ,0302 clinical medicine ,Chemical Biology and Nucleic Acid Chemistry ,In vivo ,Genetics ,Animals ,Humans ,Gene silencing ,RNA, Small Interfering ,Nuclease ,Oligonucleotide ,Kidney metabolism ,In vitro ,Cell biology ,Mice, Inbred C57BL ,030104 developmental biology ,Liver ,Area Under Curve ,030220 oncology & carcinogenesis ,biology.protein ,RNA Interference - Abstract
Covalent attachment of a synthetic triantennary N-acetylagalactosamine (GalNAc) ligand to chemically modified siRNA has enabled asialoglycoprotein (ASGPR)-mediated targeted delivery of therapeutically active siRNAs to hepatocytes in vivo. This approach has become transformative for the delivery of RNAi therapeutics as well as other classes of investigational oligonucleotide therapeutics to the liver. For efficient functional delivery of intact drug into the desired subcellular compartment, however, it is critical that the nucleic acids are stabilized against nucleolytic degradation. Here, we compared two siRNAs of the same sequence but with different modification pattern resulting in different degrees of protection against nuclease activity. In vitro stability studies in different biological matrices show that 5′-exonuclease is the most prevalent nuclease activity in endo-lysosomal compartments and that additional stabilization in the 5′-regions of both siRNA strands significantly enhances the overall metabolic stability of GalNAc–siRNA conjugates. In good agreement with in vitro findings, the enhanced stability translated into substantially improved liver exposure, gene silencing efficacy and duration of effect in mice. Follow-up studies with a second set of conjugates targeting a different transcript confirmed the previous results, provided additional insights into kinetics of RISC loading and demonstrated excellent translation to non-human primates.
- Published
- 2017
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